| NPI | 1346396736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE ROLON Office Manager 215-831-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD014418-E) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |